Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Sep;130(9):1528-1530.
doi: 10.1016/j.clinph.2019.06.003. Epub 2019 Jun 25.

Picking up the pace

Dana Marafi  1 , Steven Fussner  2 , Yvonne Y Chen  3 , Daniel Yoshor  3 , Paul Van Ness  2 , Atul Maheshwari  4
Affiliations
Case Reports

Picking up the pace

Dana Marafi et al. Clin Neurophysiol. 2019 Sep.
No abstract available

PubMed Disclaimer

Conflict of interest statement

Declaration of Competing Interest

None of the authors have potential conflicts of interest to be disclosed.

Figures

Fig. 1.
Fig. 1.
Pacer spiking as the first sign of electrographic seizure onset. (A) Sagittal MRI near the midline showing region of cystic encephalomalacia in the left frontal lobe (arrow). (B and C) Reconstruction after placement of intracranial grid and strips showing contacts for onset of Type 1 (black arrows) and Type 2 (red arrows) seizures. Yellow = left frontal grid; Blue = anterior temporal/orbitofrontal strip; Pink = posterior frontal/temporal strip; Red = parieto-occipital strip; Light blue = Interhemispheric grid. (D) 75 s recording capturing the onset of Seizure 11 (Type 2/atypical). Lower left inset: onset of bradycardia followed by initiation of pacer spikes. Upper right inset: first electrocorticography onset in the anterior temporal contact. Lower right inset: Continued pacing through electrocorticographic onset. Note: some contacts were removed to improve visibility. AT = anterior temporal/orbitofrontal strip; PT = posterior frontal/temporal trip; IH = interhemispheric grid. Bar = 1 s. (For interpretation of the references to colour in this figure legend, the reader is referred to the web version of this article.)
See this image and copyright information in PMC

References

    1. AlKhawajah M, MacDonald DB, AlSemari A, AlThubaiti I, McLean D. Response of ictal asystole to pacemaker implantation documented by video-EEG/ECG. Can J Neurol Sci 2013;40:606–8. - PubMed
    1. Bruno E, Biondi A, Richardson MPRADAR-CNS Consortium. Pre-ictal heart rate changes: a systematic review and meta-analysis. Seizure 2018;55:48–56. - PubMed
    1. Gregg NM, Hocquard KW, Burkholder DB, Lagerlund TD. Teaching NeuroImages: medically intractable epilepsy and ictal asystole treated with cardiac pacing. Neurology 2019;92:e2510–1. - PubMed
    1. Moseley BD, Ghearing GR, Munger TM, Britton JW. The treatment of ictal asystole with cardiac pacing. Epilepsia 2011;52:e16–9. - PubMed
    1. Strzelczyk A, Bauer S, Knake S, Oertel WH, Hamer HM, Rosenow F. Ictal asystole in temporal lobe epilepsy before and after pacemaker implantation. Epileptic Disord 2008;10:39–44. - PubMed

MeSH terms